Individual provider Active NPI

Frank Salisbury, LPC

  • Professional Counselor
  • Saint Louis, MO
National Provider Identifier
1043795263
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2020010460 Issued in MO
Practice address
11140 S Towne SQ Ste 200
Saint Louis, MO 63123-7830
Phone
(314) 472-3228
Fax
(314) 405-9531
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178013717 IL
Professional Counselor 101YP2500X 2020010460 MO Primary

Addresses

Primary practice location

11140 S Towne SQ Ste 200
Saint Louis, MO 63123-7830

Mailing address

11140 S Towne SQ Ste 200
Saint Louis, MO 63123-7830
Phone (314) 472-3228

Other practice location 1

600 W Lincoln Ave
Caseyville, IL 62232-1329
Phone (618) 345-3970

Other identifiers 1

IdentifierTypeStateIssuer
178013717OtherILSTATE OF ILLINOIS PROFESSIONAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178013717ILMDProfessional Counselor
2020010460MOMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Counseling LLC CurrentSince Mar 26, 2023 Accepting new patients

Locations

11140 S Towne Sq
Ste 200
Saint Louis, MO 63123
Phone (314) 472-3228

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1043795263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 S TOWNE SQ STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237830",
            "telephone_number": "314-472-3228",
            "fax_number": "314-405-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 S TOWNE SQ STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237830",
            "telephone_number": "314-472-3228",
            "fax_number": "314-405-9531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Caseyville",
            "state": "IL",
            "postal_code": "622321329",
            "country_code": "US",
            "telephone_number": "618-345-3970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALISBURY",
        "first_name": "FRANK",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178013717",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2020010460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS PROFESSIONAL LICENSE",
            "identifier": "178013717",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.